| NPI | 1164941209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMZAH ALAMEEN Director 914-222-4156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD D0035818) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 210579) |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2018-03-17 |