NPI | 1649702960 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY D TEAMER Owner 845-240-4941 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079690) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 0044971) |
1041C0700X Social Worker Clinical (Licence: NY 0781631) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |