| NPI | 1679009559 |
|---|---|
| Doing Business As | CARMEN JIMENEZ |
| Entity Type | Organization |
| Authorized Contact | CARMEN JIMENEZ Founder 980-275-2505 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10478) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC C008505) |
| 251S00000X | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |