| NPI | 1053066977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE BARNES Owner 917-301-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |