| NPI | 1669538666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP KAWESCH Co Director 718-792-4178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-09-11 |