| NPI | 1578899415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRENA FAGEN Director 917-293-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY 000250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 077035) |
| 221700000X Art Therapist (Licence: NY 0000144) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2017-08-08 |