| NPI | 1831567981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JACOBS Owner 917-439-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 004724) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |