NPI | 1780345900 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN VICTORY Authorized Official 855-227-3574 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2022-01-10 |
Last Update Date | 2024-09-09 |