| NPI | 1861277865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT DAVID MOSSEL Licensed Mental Health Counselor 917-453-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |