NPI | 1891402673 |
---|---|
Entity Type | Organization |
Authorized Contact | LAKISHA FULMORE Licensed Mental Health Counselor 516-774-1341 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-11-01 |
Last Update Date | 2022-11-16 |