| NPI | 1598306961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MORRISON Owner 347-464-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |