| NPI | 1124614920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAU E CHARLES Executive Director 646-966-3317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |