| NPI | 1215656145 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALAYSHA PRESTIA CEO 848-459-2916  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2022-08-24 | 
| Last Update Date | 2025-03-19 |