| NPI | 1033472196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HILLARY GRAY Social Worker 347-251-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P051882-1) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |