| NPI | 1225490584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE OLWYN Sole Mbr 917-623-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081165) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |