| NPI | 1073029989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE IZZO Owner 914-217-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 007874) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |