| NPI | 1104118876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GERSON Clinical Director 646-245-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077255) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-01-27 |