| NPI | 1982912929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE B MARTIN President 718-873-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001024-1) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |