| NPI | 1194479758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SEREL President 646-450-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |