| NPI | 1699435610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA BARBOSA RODRIGUES PROTASIO Clinical Social Worker 857-452-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-29 |