| NPI | 1710381355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL TULCHINSKIY Director 718-897-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 003767) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |