| NPI | 1942813597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY DAVIS Owner/President 769-300-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-10-12 |