| NPI | 1073328159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HONOROFF Director 917-426-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |