NPI | 1063710895 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON GERALD CEO 718-230-0923 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 201102501273) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2011-03-02 |