| NPI | 1992259683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SATINOVER Owner 475-329-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-07-25 |