| NPI | 1750862967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH WOLF-POWERS Owner/Member 917-885-7892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 086846) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2019-12-12 |