| NPI | 1144771940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MOONEY Clinical Director 347-985-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082559) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |