| NPI | 1215532650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ROBERTO ALVAYERO Licensed Professional Counselor 516-633-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |