| NPI | 1376598466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAS SHEVY MILLER Comptroller 718-875-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 7679100A) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-06-17 |