| NPI | 1619226966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA RHONDA GITTER Director 718-634-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY R027402) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY R027402) |
| 1041C0700X Social Worker, Clinical (Licence: NY R027402) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY R027402) | |
| 225600000X Dance Therapist (Licence: NY 05000472) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |