| NPI | 1881150241 |
|---|---|
| Doing Business As | CHAD FOSTER, LCSW |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHAD FOSTER Owner 270-929-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-05-22 |