| NPI | 1184990921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA RANIOLA Licensed Clinical Social Worker 347-850-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078413) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |