NPI | 1447845821 |
---|---|
Entity Type | Organization |
Authorized Contact | JANIECE BRIANNE PETERSON JENKINS Outpatient Therapist/Owner 980-275-9119 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-03-07 |
Last Update Date | 2022-08-02 |