| NPI | 1750937363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACACIA GABRIELLE QUAINTANCE Licensed Independent Social Worker 330-814-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2020-07-30 |