| NPI | 1184422214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY STAROSTA President 267-638-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |