| NPI | 1104340819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN RICE Licensed Mental Health Counselor 917-854-0592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |