| NPI | 1811755820 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL STEVEN GONZALEZ Mental Health Therapist 646-338-2133 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2024-03-13 | 
| Last Update Date | 2024-03-13 |