| NPI | 1306247341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN GELDER Psychologist 917-882-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 68020484) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |