| NPI | 1457919722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAT E GOTLIB CEO 917-780-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |