NPI | 1184196644 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER S DENNIS Director 212-245-2729 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QC1800X Clinic/Center, Corporate Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP0905X Clinic/Center, Public Health, State or Local | |
251300000X Local Education Agency (LEA) | |
251B00000X Case Management | |
251K00000X Public Health or Welfare | |
251S00000X | |
261Q00000X Clinic/Center | |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2018-12-21 |
Last Update Date | 2018-12-21 |