| NPI | 1891862165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKI A BOWDITCH President 755-446-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002352a) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |