NPI | 1235978057 |
---|---|
Entity Type | Organization |
Authorized Contact | POONAM MANN CHADHA Business Director 315-935-6594 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-21 |
Last Update Date | 2024-05-21 |