| NPI | 1821842899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE GOLDBLATT Licensed Clinical Psychologist 914-427-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |