| NPI | 1982095501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOKONA NISSA PERRY Licensed Clinical Social Worker 917-319-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 071613-1) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |