| NPI | 1124773916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MING Owner 347-400-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-20 |
| Last Update Date | 2022-03-27 |