| NPI | 1275077406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CHERRY Associate Director 718-643-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 076406) |
| Additional Taxonomies | 251S00000X (Licence: NY 076406) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |