| NPI | 1912180316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE SOSA-DICKSON Clinical Director 718-222-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 067580) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |