| NPI | 1396051850 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | MERLA ANN HUNTLEY Private Clinician 662-510-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS15209) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2011-06-27 |