| NPI | 1982489449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN RAIOLA CFO 917-567-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-07-13 |