| NPI | 1518619063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDILI MARLENY MALDONADO CEO & Clinical Administrator 914-314-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-05-26 |