| NPI | 1306688593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADENA BLICKSTEIN CEO 917-613-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |