| NPI | 1851130942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BURGOS CEO And Clinical Administrator 917-439-8027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |