| NPI | 1023875804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL A. CRESPO Owner/Provider 646-251-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |