| NPI | 1356659189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE WILLIS President 917-763-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 000619) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 000619) |
| 101YP1600X Counselor Pastoral (Licence: NY 000619) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |