| NPI | 1063288074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES BLANCO Director 914-693-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |