| NPI | 1972884153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER-ALEXANDER D DOUGLAS Director 212-828-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY PR060963-1) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2016-11-04 |