| NPI | 1639532237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JAFFE O'DUOR Licensed Clinical Social Workr 267-329-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA 017676) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |