| NPI | 1255162889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL SANTACRUZ Owner 917-957-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |