| NPI | 1679272462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUSO OGUNTOYINBO OTUYELU Licensed Clinical Social Worker 347-410-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |