| NPI | 1609262518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY A SNEAD Owner 660-215-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014043840) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |