| NPI | 1356708697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA K DIPIETRO Owner 929-400-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW018861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081521) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2017-03-09 |