| NPI | 1285412296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASE GIRVIN President 347-948-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-11-13 |