NPI | 1992470561 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE ROSE CHENGAPPA Director Of Administration 385-337-4391 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2021-08-15 |
Last Update Date | 2021-08-17 |