| NPI | 1467130096 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FELICIA BALDWIN CONNOR Rehabilitation Psychologist 347-349-5714 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services | 
| Enumeration Date | 2023-07-05 | 
| Last Update Date | 2023-07-05 |