| NPI | 1588213417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MIKHAIL BIGGERS Incorporator/Organizer 479-200-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2021-06-14 |