| 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 |