| NPI | 1730881608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHORNA PATRICIA BARNES-PATTERSON Owner 551-255-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |