| NPI | 1992558696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY CURRINGTON Owner 985-518-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-07-17 |