| NPI | 1366260846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRATH RAHMAN Manager 646-246-5905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |