| NPI | 1063373850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXIE WALKER Chief Operating Officer 516-513-1256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-12-01 |