NPI | 1043668262 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDANA KRUEGER-TOSCHER Owner 347-277-2553 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L6607) |
Enumeration Date | 2016-05-27 |
Last Update Date | 2016-05-27 |