| NPI | 1073196721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIGIA GOODMAN Mental Health Clinician 718-781-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |