| NPI | 1184115388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YETTA CORDERO President 917-618-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73079357) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |