| NPI | 1578000659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA DURKIN Licensed Clinical Social Worker 347-538-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 073364) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-03-08 |