| NPI | 1326842477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA SHAMONTE ASHLEY Owner 347-254-5429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |