| NPI | 1811753940 |
|---|---|
| Former Legal Business Name | VILLAGE COUNSELING LICENSED CLINICAL SOCIAL WORK SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A. SCOTT Clinical Director 212-473-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-03-22 |