| NPI | 1154709954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYURI HERNANDEZ General Director 929-522-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000394) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0884151) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2016-09-20 |