| NPI | 1407442809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JANUARY BEHR Licensed Psychologist 516-581-7506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2020-12-19 |