| NPI | 1548658586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CAVIN Owner 385-232-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7095872) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |