| NPI | 1235526443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN STANFORD THOMPSON Primary Therapist Owner 646-263-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R059610-1) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-04-26 |