| NPI | 1225645377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BRYAN MELHORN Owner/Therapist 917-617-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |