| NPI | 1912863721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSEN MASTOV Licensed Clinical Social Worker 917-930-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-25 |
| Last Update Date | 2025-12-25 |