| NPI | 1083577316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIMINIQUE ETIENNE Licensed Clinical Social Worker 347-799-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2025-12-04 |