| NPI | 1598415952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUSSELL Owner/CEO 914-342-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |