NPI | 1194442624 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS FELICIA LEWIS Director 917-474-3792 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-10-25 |
Last Update Date | 2023-07-11 |