| NPI | 1720378490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN POELVOORDE Social Worker 646-473-0138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR019774) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-21 |