| NPI | 1164007274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET C CHEN Managing Member 646-820-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-09-19 |