| NPI | 1700360757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN G STOWERS Director 862-216-8764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-09-16 |
| Last Update Date | 2020-02-08 |