NPI | 1790102051 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY BUTCHEN President 516-520-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 141110677) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2018-11-07 |