| NPI | 1609190883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TALBOT Licensed Clinical Social Worker 917-747-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 039933) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |