| NPI | 1891532750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE NICOLE PERRETTA Licensed Clinical Social Worker 779-206-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |