| NPI | 1881667582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH THIBODEAU Partner 585-331-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04888700) |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2010-10-02 |