| NPI | 1447104559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA LOUBEAU-GRIGGS Clinical Social Worker 754-300-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |