| NPI | 1285461228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BELLISARIO President 888-777-9409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 103TF0000X Psychologist, Family | |
| 103T00000X Psychologist | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 103TC0700X Psychologist, Clinical | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-12-08 |