| NPI | 1285484550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LEIDER Administrator 347-452-9894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |