| NPI | 1245745751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX B LAKOJU Admin Director 646-316-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |