NPI | 1740711233 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE DAWSON Licensed Clinical Social Worker 228-861-8162 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MS C8074) |
Enumeration Date | 2017-03-25 |
Last Update Date | 2017-03-25 |