| NPI | 1275078917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R FORD President/Owner 718-978-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R039633-1) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |