| NPI | 1891182671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BRUECKNER Owner 914-260-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001261) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |