| NPI | 1447687322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA DYADUK Social Worker 917-535-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05556500) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |