| NPI | 1063441848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA DEXTER VP Mental Health Programs 347-328-8110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 7914100A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 7914100B) |
| 1041C0700X Social Worker, Clinical (Licence: NY 7914100C) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 7914100E) | |
| 1041C0700X Social Worker, Clinical (Licence: NY 7914100D) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-01-18 |