| NPI | 1255798658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALYN SANDRA LEE Paychotherapist 917-273-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083352) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 083352) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2018-03-17 |