NPI | 1023411816 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN J GREEN Psychotherapist 845-707-2542 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0714321) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2014-10-07 |