| NPI | 1124200597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. LEVY President 718-351-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 1068051) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-12-03 |