| NPI | 1548002041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALCHEMY GREEN President, Founding CEO 347-762-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251K00000X Public Health or Welfare | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |