| NPI | 1114199486 |
|---|---|
| Other Name | VICTORY GUILD CONSULTATION CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY ELIZABETH BLACKWELL Psychiatric Social Worker 212-453-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 074221) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-08-27 |