| NPI | 1134867096 |
|---|---|
| Former Legal Business Name | KAIROS PYSCHOTHERAPY & WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | LIONEL LATOUCHE Co Owner 845-304-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2023-02-20 |