| NPI | 1386122604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIE SOUTHWOOD CEO 646-267-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY NY007529) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |