| NPI | 1356149124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MAIA CEO 917-751-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 171400000X Health & Wellness Coach | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225A00000X Music Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |