| NPI | 1235427667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E GAFFEY President 111-111-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 305R00000X Preferred Provider Organization (Licence: NY 73077355) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-11-18 |