| NPI | 1487021945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY KEVIN DOUGLAS Social Worker Psychotherapist 914-475-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-09-23 |