| NPI | 1134665565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE AVILA Owner 917-907-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 055836-1) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |