| NPI | 1265234470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LIBREROS Licensed Clinical Social Worker 872-225-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |