| NPI | 1356890461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE XUEREB Mental Health Counselor 347-669-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 006523) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |