| NPI | 1285369389 |
|---|---|
| Former Legal Business Name | RISING TIDE MENTAL HEALTH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | JASON ALICEA Owner 917-767-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |