| NPI | 1063783835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA MORALES Board Member 718-440-9637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004390) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2014-01-23 |