| NPI | 1932864980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH KENNEY Co Director 917-439-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |