| NPI | 1215313184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER B JACKSON Founder/ CEO 347-281-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 072171) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-06-07 |