| NPI | 1235674409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNEL DORIS Chief Executive Officer 718-260-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2023-05-24 |