| NPI | 1033669635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE C WEILAND Licensed Clinical Social Worker 917-881-4296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0325521) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2022-10-25 |