| NPI | 1053862326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD O'DONOGHUE Mental Health Counselor 212-757-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NY 007484-1) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |