| 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 |