NPI | 1841887510 |
---|---|
Entity Type | Organization |
Authorized Contact | SEDERIA MOORE Manager 747-777-0503 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2020-12-28 |
Last Update Date | 2020-12-28 |