| NPI | 1467200808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANNA WALKER Clinical Director/Owner 725-600-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-06-19 |