| NPI | 1023251261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA MAMEDOVA-BRAZ Owner 212-874-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 185185) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-11-23 |