| NPI | 1295034460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PRINCE Director 1347-233-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075640) |
| Enumeration Date | 2011-03-27 |
| Last Update Date | 2011-03-27 |