| 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 |