| NPI | 1003577511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GERARD CONNOLLY President / Executive Director 646-479-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 221700000X Art Therapist |
| 363A00000X Physician Assistant | |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |