| NPI | 1154097897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CRISTINA CORCORAN Mental Health Counseling 516-660-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |