| NPI | 1043554769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELSA FAUCONIER Director 347-771-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075416) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |