| NPI | 1548954563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSLEY HANSON BEVERLY Clinical Social Worker 251-308-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |