| NPI | 1295443968 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RUBY MASLOWSKI Licensed Clinical Social Worker 917-650-0051 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2022-11-10 | 
| Last Update Date | 2023-11-02 |