| NPI | 1396102612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA ZHUKLEVICH Owner 917-674-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR062278-1) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |