| NPI | 1396126868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRE BONARRIGO Lcsw 518-227-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081413-1) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |