NPI | 1851772628 |
---|---|
Entity Type | Organization |
Authorized Contact | JANEEN CROSS Clinical Social Worker 267-252-6653 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018164) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |