| NPI | 1104205228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ELLEN KALIN Sole Proprietor 516-466-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY R078327-1) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |