| NPI | 1205329273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAMACHO Assistant Controller 212-284-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-05-07 |