| NPI | 1316401391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GITTY BRACH CFO 845-218-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-08-23 |