| NPI | 1487338414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SHIELDS CEO 347-210-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |