| NPI | 1184073470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA PIMIENTA Clinical Psychologist 347-878-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 021214-1) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |