| NPI | 1376948943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH BEAN BEAUJON Director Social Work 917-378-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008451) |
| Enumeration Date | 2014-10-25 |
| Last Update Date | 2014-10-25 |