| NPI | 1184035586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE BOBB-INNISS Executive Director 718-916-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R047220-1) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-09-15 |