| NPI | 1275420689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR DARIO REYES Administrator 917-771-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-08-05 |