| NPI | 1477878122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY DEMARIUS WILLIS Chief Executive Officer/President 718-357-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 69956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076729) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-25 |