NPI | 1386991230 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRA JOHNSON Clinical Service Director 769-233-8585 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6696) |
Enumeration Date | 2012-08-10 |
Last Update Date | 2015-06-22 |