| NPI | 1710690664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K.C. BUGG PSY.D. Owner 212-256-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-12-22 |