| NPI | 1588010417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE MARIA BLAND-GUARY Director 667-212-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20155) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |