| NPI | 1003315102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE MALDONADO Clinical Social Worker 917-880-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R062204-1) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-08-17 |