| NPI | 1306339296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA MARIE AARONS-COOKE CEO, Owner 917-771-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R078776) |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-10-23 |