| NPI | 1669926135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE GONZALEZ Owner 917-396-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R076167) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |