NPI | 1245058544 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY ORTMAN Director 646-770-0535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-09-26 |
Last Update Date | 2024-09-26 |