| NPI | 1952653412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MCDONAUGH Mental Health Social Worker 212-569-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NY 6556122B) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |