| NPI | 1164299715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARUN CHOUDHARY Authorized Official 212-284-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-05-06 |