| NPI | 1821213497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY EDWARDS Psychotherapist 718-658-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY PR00986 1) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |