| NPI | 1194265397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SZOYCHEN Sole Proprietor 347-884-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 081046) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2018-10-18 |