| NPI | 1104536812 |
|---|---|
| Doing Business As | DIVERSE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MELVIN JULIUS OWENS Founder/CEO 646-389-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |