| NPI | 1811765266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHACON Ownder 385-269-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |