| NPI | 1447143136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK MARTIN WILLIAMS Licensed Clinical Social Worker 646-374-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-05-31 |
| Last Update Date | 2025-05-31 |