| NPI | 1750435913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA C MCNEIL TUCKER Executive Director 917-270-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R053103-1) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |