| NPI | 1427379072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY SAND Psychologist/CEO 347-405-8130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 014110-1) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |