| NPI | 1518571181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL WAITE Licensed Professional Counselor 917-689-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |