| NPI | 1235853698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI WEISS Owner 917-456-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-06-27 |