| NPI | 1891498150 |
|---|---|
| Former Legal Business Name | PRAD LB LLC |
| Entity Type | Organization |
| Authorized Contact | DANIELE DEOLIVEIRA Lcsw 646-739-3642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |