| NPI | 1972005833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS BRIGNOLO Counselor 718-551-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008172) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027228) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |