| 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 |