| NPI | 1962195859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY G. WHITE Owner 917-355-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |