| NPI | 1295007623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE MARY ELIA Licensed Clinical Social Worker 914-834-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R046166) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2016-01-06 |