| NPI | 1407359045 |
|---|---|
| Former Legal Business Name | DEYANIRA BALDERA |
| Entity Type | Organization |
| Authorized Contact | DEYANIRA BALDERA Licensed Mental Health Counselor 718-872-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH13131) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH13131) |
| 101YM0800X Counselor, Mental Health (Licence: FL mh13131) | |
| 101Y00000X Counselor (Licence: FL MH13131) | |
| 251B00000X Case Management (Licence: FL mh13131) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-01-18 |