| NPI | 1396050068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA JEANETTE COURTNEY Clinical Social Workier 9113-491-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 998) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |