| NPI | 1871201863 |
|---|---|
| Doing Business As | ANDREW MOULDOVAN |
| Entity Type | Organization |
| Authorized Contact | ANDREW MOULDOVAN Owner 917-691-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-16 |