| NPI | 1164006797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDAN SPEIGHTS Director Of Community Wellness 646-236-5695 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-12-13 |