| NPI | 1518363936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAVONE LORRAINE CRESPO Mental Health Counselor 212-368-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY P92787) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |