| NPI | 1063829232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LADIPO Owner & Director 267-908-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015409) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-03-29 |