| NPI | 1033981188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY COHEN Lead Operations Manager 872-278-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-11-09 |