| NPI | 1750909644 |
|---|---|
| Doing Business As | KATIUSCIA GRAY, LCSW |
| Entity Type | Organization |
| Authorized Contact | KATIUSCIA K GRAY Owner/ Executive Director 516-500-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2021-06-14 |