| NPI | 1366071391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN LEICHTER Managing Member 718-377-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-06-21 |