| NPI | 1558856229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVING BAEZ Owner 917-208-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-02-25 |