| NPI | 1629329438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE NERESTAN Clinical Social Worker 917-653-8972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R063179) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-01-08 |