| NPI | 1770871469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE RODRIGUEZ Clinical Therapist 718-926-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R055338) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |