| NPI | 1568954311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S FAYERBERG Owner/Director 917-403-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007301) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-16 |