| NPI | 1134328784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL LEE Licensed Clinical Social Worker 718-855-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY P0642861) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |