| NPI | 1003185430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID MOUSSAVIAN Medical Director 212-510-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NY 165628) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-01-27 |