| NPI | 1518444843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CAMPAGNA Owner/Manager 501-514-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8136-C) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-03-05 |