| NPI | 1992520589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CUEVAS License Mental Health Counselor 917-443-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |