| NPI | 1457221004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L BAME Licensed Clinical Social Worker 930-207-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2026-03-30 |