| NPI | 1952121691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA PENA-CORTHELL Dir Of Programs & Clinical Therapy 980-422-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |