| NPI | 1104273762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ALZAMORA HYZAK Director 516-280-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 243373) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2025-09-21 |