| NPI | 1104333525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES SLATER Clinical Social Work 516-650-9935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR0206581) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |