| NPI | 1740659507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUETTA DASHEA SOLOMON Owner 631-800-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076748-1) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-01-11 |