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 |