| NPI | 1245932748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY VIRELLA Owner 914-372-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |