| NPI | 1760056048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LAUREN BONDS GROCHER Owner/Clinical Director 646-760-7921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |