| NPI | 1073054961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MOHAMMED CEO 917-407-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2025-09-12 |