| NPI | 1437029014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH MOORE Social Worker 472-218-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2026-05-01 |