| NPI | 1952886087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA N CUMMINS Managing Partner 917-306-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |