| NPI | 1457936619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA LYNN VERA Licensed Clinical Social Worker 531-289-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-11-11 |