| NPI | 1891514972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R MARTINEZ RAPHAEL MARTINEZ Mental Health Counselor 914-727-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2025-01-06 |