| NPI | 1881089175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M KENDRID President 725-212-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 6840-C) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-03-12 |