| NPI | 1528421914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BURKS Board President 877-843-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 104100000X Social Worker | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-09-12 |