| NPI | 1508497462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C KEARNEY Mental Health Counselor 718-975-3747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |