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 Community/Behavioral Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-10-20 |
Last Update Date | 2025-06-26 |