| NPI | 1801697495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATROYANA SMALLS Clinical Director 917-309-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |