| NPI | 1073351862 |
|---|---|
| Other Name | PIVOTS POTENTIAL LLC - NM |
| Entity Type | Organization |
| Authorized Contact | VIDA LYNNE PENN LEON Executive Officer 240-457-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |