| NPI | 1851894356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA RUEDA Therapist 917-376-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 10167) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |