| NPI | 1235359662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE PAMELA BARCO Psychotherapist 718-522-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 064458) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |