NPI | 1669805602 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY WILLIAMS-JENKINS Licensed Clinical Social Worker 917-613-4009 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 0770581R) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2013-08-13 |