| NPI | 1578151320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HICKEY CEO, Owner 718-830-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |