| NPI | 1831597004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA MAVASHEVA President 646-725-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 082458-1) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2015-07-16 |