| NPI | 1245845932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE COOPER Chief Executive Officer 347-851-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TF0000X Psychologist Family | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2025-04-08 |