| NPI | 1558075531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SHANA MCINTYRE Clinical Director, Owner 888-530-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-01-13 |