| NPI | 1043973027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM WARACH CEO 929-352-0444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |