| NPI | 1750615928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA BAILEY TAMARO Mental Health Counselor 212-969-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004158-1) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |