| NPI | 1780474270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA VILLAFRADE-BLUME Licensed Clinical Social Worker 210-201-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-08-22 |