| NPI | 1326494774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WANGEL Psychotherapist 443-792-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 083416) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |