An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
ID license #LCSW1219taxonomy 261QM0850X
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
ID license #LCSW1219taxonomy 261QM0855X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Stanley Zuckerman
Type code 3recorded 2020-07-30
Stanley Zuckerman
Type code 3recorded 2006-07-23
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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