| NPI | 1700206364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE N BAKER Member 347-860-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003054-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080219-1) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |