| NPI | 1336946763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ROLLINS VP/General Manager 212-838-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-04-15 |