| NPI | 1902430556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARD FRANCISCO DANIELSEN CEO 347-453-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2024-05-16 |