| NPI | 1801844584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE DEPETRIS Vice President & COO 718-389-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC0700X Psychologist Clinical | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-11-20 |