NPI | 1861990095 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE R SHIELDS Principal 516-624-0512 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY R030570) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |