| NPI | 1689425373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CLAYTON ROWELL Owner 251-254-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |