| NPI | 1154035301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVID LEIB HALON Executive Director 347-452-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261Q00000X |
| 261QM0801X | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |