| NPI | 1346232345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA I JONES Business Manager 212-453-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-10-30 |