| NPI | 1053696195 |
|---|---|
| Doing Business As | SUS WELLNESS WORKS MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | OKSANA MARANTS VP Revenue Cycle 646-629-7363 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2024-12-13 |