| NPI | 1932945409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE BEAUREGARD-WEISS Provider/Administrator 917-470-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-03-04 |