| NPI | 1578045720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEIKA L HINTON Licensed Clinical Social Worker 845-590-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R075523) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |