| NPI | 1609534551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY SMALL Founder/Owner 347-356-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2024-07-11 |