| NPI | 1649817370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PEATS-CLARKE CEO 718-300-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-12-16 |