| NPI | 1629356753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN PASTORE Owner/Executive Director 267-546-7922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |