| NPI | 1336811850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY SCAMARDO Owner 224-707-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2021-10-03 |