| NPI | 1447780226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KARDONSKY Therapist 917-612-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05721800) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |