| NPI | 1174484844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BANAS Owner 914-261-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |