| NPI | 1790445179 |
|---|---|
| Doing Business As | CULTURED SPACE |
| Entity Type | Organization |
| Authorized Contact | NICOLE MURRAY Clinical Director 631-488-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |