| NPI | 1215417126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE HYACINTHE Clinician 347-835-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-04-29 |