| NPI | 1093183766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIA ALPERN Member 646-504-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 021290) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |