| NPI | 1346521572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND RODRIGUEZ Social Worker 917-822-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077444) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |