NPI | 1548530959 |
---|---|
Entity Type | Organization |
Authorized Contact | ISABELLA DAVYDOVA Licensed Mental Health Counselor 718-374-6765 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 0043091) |
Additional Taxonomies | 261QM0801X (Licence: NY 004309-1) |
251S00000X Community/Behavioral Health (Licence: NY 0043091) | |
Enumeration Date | 2012-01-03 |
Last Update Date | 2016-12-19 |