NPI | 1316695232 |
---|---|
Other Name | EASTSIDE DBT |
Entity Type | Organization |
Authorized Contact | MELISSA A PEASLEE Licensed Mental Health Counselor 212-203-5865 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-14 |