| NPI | 1306796628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI MCDONOUGH Licensed Clinical Social Worker 917-554-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-04-13 |