| NPI | 1790995173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PATER ENNIS Director 718-253-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000677) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |