| NPI | 1033647946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO MOLINA RENDON Director 929-233-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9813) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2017-05-23 |