| NPI | 1982949673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETER CARNESECCHI President 800-333-4116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 070023-1) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |