NPI | 1881164085 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA HENDRICKSON DAVID HENDRICKSON Owner 631-838-7183 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 225700000X Massage Therapist |
104100000X Social Worker | |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-29 |