| NPI | 1760854442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN FELDMAN Director 844-843-7279 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2024-03-19 |