| NPI | 1740038231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVARRES RASHAAD ALEXANDER Owner 980-777-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-10 |