| NPI | 1013537695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANISHA CARIDAD ALMONTE LUCIANO Counselor & Consultant 347-292-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-08-03 |