| NPI | 1659983484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE LAWRENCE Owner 917-680-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 221700000X Art Therapist | |
| 225800000X Recreation Therapist | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |