| NPI | 1053719880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR TORRES Mental Health Counselor 212-367-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0907081) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |