| NPI | 1902648272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA PARRA Authorized Representative 531-777-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-06-10 |