| NPI | 1447737036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MC LANEY KENNETH MOISE Executive Director 347-554-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05776400) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |