| NPI | 1285006353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON COLE CEO 866-232-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019581) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-06-03 |