| NPI | 1902281330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARIE YURCHENKO Owner 917-533-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00512800) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |