| NPI | 1255022265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MORALES Licensed Clinical Social Worker 917-304-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-05-09 |