| NPI | 1306349535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN SHEPPARD-SAMUEL Owner 917-862-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081061-1) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |