| NPI | 1396472395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREIDDY NICASIO Business Owner 917-728-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |