| NPI | 1497206684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE S MOORE Owner 917-482-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 13940) |
| Enumeration Date | 2016-10-22 |
| Last Update Date | 2017-03-14 |