| NPI | 1699109090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ROMAN Owner/Counselor 845-863-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004739) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |