| NPI | 1811385743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRELAN NICOLE HOLDER CEO 917-846-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078630) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |