| NPI | 1477387629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR FORTUNE Executive Director 917-435-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |