| NPI | 1295878577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LEDERER Executive Director 718-896-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 6715100A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 090210852) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-11-02 |