| NPI | 1952123523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MOTHERSILL License Clinical Social Worker 347-674-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |