| NPI | 1700392792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELIZAVTEA GOLUB Owner 646-244-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005831) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |