| NPI | 1891163309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WELLONS HARTMAN Clinical Social Worker 917-558-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009407) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |