| NPI | 1649955006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETTE SIMMONS CEO 347-733-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |