| NPI | 1851156681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANT VIRK CEO 917-991-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-03-08 |