| NPI | 1124563838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MCCULLAH Clinical Social Worker 347-785-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0849931) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |