| NPI | 1376957654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYLANN MCCALLA Owner 516-710-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081627) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2015-08-22 |