| NPI | 1720566201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORI L WALKER Managing Member 888-464-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2022-01-18 |