| NPI | 1922417468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE NOVELLA Clinical Social Worker/Owner 718-360-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 080258) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |