| NPI | 1588258222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELEESHA N MCNAIR Lcsw 109-922-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |