| NPI | 1841533239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIL CARTER Revenue Cycle Manager 469-500-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA LCSW 3256) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-10-30 |