| NPI | 1710445952 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RACHEL RUBENSTEIN Owner 917-607-1315 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2019-03-06 | 
| Last Update Date | 2019-12-09 |