| NPI | 1245969690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL LICHTSCHEIN President 718-298-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |