| NPI | 1386955946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOHNSON Executive Director 718-875-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R055343) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2019-04-02 |