| NPI | 1336645423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN LEHMAN Owner 917-854-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2019-11-04 |