| NPI | 1770941767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA M BRICENO Clinician 646-753-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082567) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |