| NPI | 1154114221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KOZLIK Partner 917-797-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-06-17 |