| NPI | 1427029065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTA MCCLENAN Owner 516-507-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 0693321) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-10-25 |