| NPI | 1750633285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA FONTANEZ Lcsw 917-543-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-08-01 |