| NPI | 1114503075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CARDONA Licensed Clinical Social Worker 914-844-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |