| NPI | 1598138398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA YAEL GOODMAN Managing Member 917-623-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007879) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |