| NPI | 1588330211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIA JAMEL TERRY-PURYEAR Licensed Clinical Social Worker/Own 845-282-4962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2021-08-22 |