| NPI | 1295117984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHARA JEAN-BAPTISTE Behavioral Health Practitioner 718-306-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005986) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |