| NPI | 1316737455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH FRIEDMAN Authorized Representative 917-635-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |