| NPI | 1730619537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOV RABINOWITZ Counselor 917-541-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 54998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12148) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |