| NPI | 1871803221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI MEICORO ROBERTS Owner 347-204-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R064176-1) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |