| NPI | 1760918676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LEWIS President 917-723-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 18004672) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |