NPI | 1366220881 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE KERN CEO 646-588-8176 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251S00000X Community/Behavioral Health | |
261QM0801X | |
261QM1300X Clinic/Center, Multi-Specialty | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
Enumeration Date | 2023-09-18 |
Last Update Date | 2023-09-18 |