| NPI | 1174005862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MACKO Owner/Licensed Clinical Social Work 914-400-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079585-2) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |