| NPI | 1942666524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BENYAMINOV Psychotherapist 718-640-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 17516) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD 17516) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |