| NPI | 1932900321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE TAY MITCHELL Clinical Director 646-478-6818 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |