| NPI | 1972101574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE L PURVIS Therapist/Owner Clinical Social Wor 251-234-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |