| NPI | 1861220279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA JEWELDINE CONNER CEO/Clinical Director 980-502-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-11-11 |