| NPI | 1164311742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT RAPAPORT Authorized Signatory 917-843-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-07-10 |