| NPI | 1669231478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYACHESLAV KUYAN Operations Lead 718-839-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |