| NPI | 1205183191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISHME ALLAH Therapist 212-876-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 72 083220) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-27 |