| NPI | 1073219069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA ATCHISON Psychologist 347-676-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |