| NPI | 1538972120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J ANDRE Owner 646-283-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |