| NPI | 1285090845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE BOBB-INNISS President 718-916-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R047220-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY R047220-1) |
| 101YM0800X Counselor, Mental Health (Licence: NY R047220-1) | |
| 104100000X Social Worker (Licence: NY R047220-1) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |