| NPI | 1750834750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M MINIERI Member 917-566-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 006988-1) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 006987-1) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |