| NPI | 1316977176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WITHERSPOON Director 212-694-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 074242-1) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |