| NPI | 1215893441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENASHE KOHN Manager 347-601-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2025-12-31 |