| NPI | 1124852033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY BAILEY CEO 914-758-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |