| NPI | 1376909663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAT GOTLIB CEO 917-780-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080975-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006783) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |