| NPI | 1821341454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN VERNY Owner/Member LLC 917-420-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 055683) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2015-07-15 |