| NPI | 1033602933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI FOX Owner 212-362-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY R076234) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-06-25 |