| NPI | 1922481969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. GONZALEZ Psychotherapist 917-573-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 081508) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-01-14 |