| NPI | 1114390069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE LYISCOTT President 646-503-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18003661) |
| Enumeration Date | 2015-10-31 |
| Last Update Date | 2015-10-31 |