| NPI | 1740084532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMMANN PIASECKI Owner 347-460-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171400000X |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-16 |