| NPI | 1003657479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MICELI Licensed Mental Health Counselor 212-653-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-01 |