| NPI | 1922963610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA JULES Managing Member 347-287-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |