| NPI | 1558879205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL IFRAH Owner 862-414-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-17 |