| NPI | 1235570706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGAN Vice President/Therapist 646-250-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 054990-1) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |