| NPI | 1699658179 |
|---|---|
| Doing Business As | (NONE) |
| Entity Type | Organization |
| Authorized Contact | JULIA ROBBINS Social Worker 857-636-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-07-30 |
| Last Update Date | 2025-07-30 |