| NPI | 1477619930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA BRYAN Licensed Certified Social Workers 914-948-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 05117431) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |