| NPI | 1306451265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIJAY REDDICK CEO 929-360-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |