| NPI | 1972313955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENA MOREAU Chief Executive Officer/Therapist 754-800-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |