| NPI | 1730517434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BONESTEEL Psychotherapist 646-279-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 081220-1) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |