| NPI | 1518477405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ROLDAN Owner 516-840-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005169) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |