| NPI | 1962103523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE MARIE RICCA-CALDON Owner/Provider 917-581-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2024-02-08 |