| NPI | 1427420280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND J ALLEN Director 914-572-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074459) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 003639) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |