| NPI | 1942020375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY MONIQUE DESORBO CEO/Manager 475-331-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |