| NPI | 1417834524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA RAU Licensed Clinical Social Worker 917-213-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-19 |
| Last Update Date | 2025-08-19 |