| NPI | 1225144983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA - PROFIS Program Supervisor 718-372-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 057385) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |