| NPI | 1003420829 |
|---|---|
| Former Legal Business Name | REGENERATIVE PSYCHOTHERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | MERRITT JULIANO Managing Member 917-224-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |