| NPI | 1003092958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE D GILKES President 212-737-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY PR012668-1) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-05-07 |