NPI | 1518162163 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WARREN LUNDY Owner 501-351-1510 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 1151-C) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2020-08-22 |