| NPI | 1003699646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMAYANTI DIPAYANA Director 646-945-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-01-17 |