NPI | 1609537935 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMISHA FORD Chief Executive Officer 424-522-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2022-01-08 |
Last Update Date | 2022-04-22 |