| NPI | 1427932490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY HIGGS Licensed Clinical Social Worker 386-916-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-07-28 |