| NPI | 1376953117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS ERNESTO OUTEDA Licensed Mental Health Counselor 347-423-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000758-1) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |