| NPI | 1508635921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRASSY BROWN Owner 347-451-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |