| NPI | 1942922281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER BORCYK Licensed Clinical Social Work Asso. 984-600-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |