| NPI | 1760041255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREYSY E VALDES CEO 012-947-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |