| NPI | 1033964424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILA DE ONIS Owner 917-780-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |