| 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 |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-10-29 |