| NPI | 1952963902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE TULLER Partner 917-435-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2019-06-30 |