| NPI | 1134162886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KASTAN Vice President, Program Development 212-604-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 700203TH) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 700203TH) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |