| NPI | 1720575764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN KEENEY Social Worker/Psychotherapist 718-981-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |