NPI | 1972265536 |
---|---|
Doing Business As | BRAVER |
Entity Type | Organization |
Authorized Contact | BRADY CASE Member 917-697-2890 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2021-10-12 |
Last Update Date | 2022-11-20 |