| NPI | 1518330554 |
|---|---|
| Doing Business As | C. JASON EARLE, LCSW |
| Entity Type | Organization |
| Authorized Contact | CHARLES JASON EARLE Director 855-553-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-02-13 |