| NPI | 1386015824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINA ZELONKY Licensed Marriage And Family Therap 917-558-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 001176) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |