| NPI | 1457709529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHARA GLADDEN Clinical Social Worker 845-596-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 075198) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |