| NPI | 1548075856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CHRISTINE RIVAS Behavioral Health Clinician 917-648-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |