| NPI | 1184033466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE KERN CEO 646-588-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2023-10-19 |