| NPI | 1023790359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIYSA MUHAMMAD Peer Specialist 347-883-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-06-01 |