| NPI | 1740762467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA JAYE Owner 646-610-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-06-05 |