| NPI | 1760882559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUEJUN CHI Manager 646-267-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 079755) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 11714) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |