| NPI | 1881435105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS CAMPBELL Clinical Director/ Psychotherapist 346-438-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |