| NPI | 1720733793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LAFRAZIA Owner/Clinical Director 347-693-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |