NPI | 1164987244 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDAH STERN Owner 347-439-1145 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-04 |
Last Update Date | 2024-11-18 |