| NPI | 1851696397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS EDUARDO BLUMBERG Lcsw R 718-541-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY R0707661) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY R0707661) |
| 104100000X Social Worker (Licence: NY R0707661) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2023-07-31 |