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 |