| NPI | 1700763588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE GARCIA Owner 631-213-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |