| NPI | 1396556478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTRYCE ALITA TAYLOR Co Owner 917-258-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-03-18 |