| NPI | 1023990074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EARL RADOWITZ Owner 917-270-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |