| NPI | 1184022535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SPANJOL Co Director 917-536-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000055) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005431) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |