| NPI | 1164015038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS FLOREZ Coordinator 914-564-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |