| NPI | 1871248757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MCCLEARY Director Of Operations 646-450-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-02-22 |