| NPI | 1255948840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SCHREPF Owner 347-387-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |