| NPI | 1699407809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES CONTRERAS Owner 772-245-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-02-08 |