| NPI | 1841001245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUETONG LI Clinical Supervisor 917-825-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |