| NPI | 1629877402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA FONAREV Owner / Psychotherapist 347-470-5199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |