| NPI | 1730816281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKIDA CAPASSO Owner/ Clinical Social Worker 267-354-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-10-06 |