| NPI | 1588104566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARA LANFORD Family Counselor 251-478-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 1142-3657c) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |