| NPI | 1316611064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAZIELLA LUCIA MOLLUZZO-LOESCHE Licensed Clinical Social Worker/Own 032-741-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-09-22 |