| NPI | 1962199562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTE CROSS Psychotherapist/ Managing Member 347-377-0862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-04-21 |