| NPI | 1962865493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LADD Director, Owner, Clinical Social Wk 712-352-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-07-19 |