NPI | 1710698402 |
---|---|
Entity Type | Organization |
Authorized Contact | ANEISA LYNN SHERRILL-MATTOX Licensed Clinical Social Worker 660-882-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2022-12-13 |
Last Update Date | 2022-12-13 |