| NPI | 1821330804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MARTINEZ Owner 718-909-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077662) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2014-06-10 |