| NPI | 1154201325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAVIER Licensed Clinical Social Worker 347-759-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2025-09-06 |