| NPI | 1336866300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ALLEN Compliance & Payer Services Manager 917-983-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-11-09 |