| NPI | 1063013191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA THOMPSON C.E.O. 347-509-4648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |