| NPI | 1386663904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RUSK Social Worker 718-909-7544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0718201) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |