NPI | 1023780533 |
---|---|
Entity Type | Organization |
Authorized Contact | LATEEF COOK President/CEO 929-255-7761 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-10-03 |
Last Update Date | 2021-10-03 |