| NPI | 1184212516 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GABRIELLA MARIAH MASTRONARDI Owner/Counselor 917-508-2202  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2020-12-31 | 
| Last Update Date | 2020-12-31 |