| NPI | 1881379832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY KENYA-TOLO Owner 910-318-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-11-30 |