| NPI | 1720497357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN STEVEN BERGER President 917-596-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0557701) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |