| NPI | 1396469672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MARIE DAVENPORT Founder & Clinical Director 917-617-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |