| NPI | 1154698009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SOTO Social Worker 917-664-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006726) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |