| NPI | 1952033144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KANTOR JACKMAN Owner, Licensed Clinical Social Wor 914-772-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |