| NPI | 1376088096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA JEANNINE SANDO Owner 718-869-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004410-1) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2025-12-08 |