| NPI | 1053535195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERITH ELLEN VAN ETTEN Founder Director 718-463-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |