NPI | 1114630027 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA KENNEDY Mso CEO 212-620-3053 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
Enumeration Date | 2023-01-05 |
Last Update Date | 2024-08-26 |