| NPI | 1720510019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE A POWELL Owner 845-514-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084003) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |