| NPI | 1295219376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY N MOMANYI CEO 917-250-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |