NPI | 1679008742 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY JEANNE SATCHELL Ambr 772-215-4974 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11474) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2018-04-23 |