| NPI | 1578280392 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ORLANDO M PELLOT Licensed Mental Health Counselor 646-475-2368  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2022-10-24 | 
| Last Update Date | 2022-11-15 |