| NPI | 1730546862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARPANA SHIVDASANI Owner 917-528-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ME49592) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |