| NPI | 1386284594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRICA DIANE FILS-AIME Founder And Director 347-541-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-16 |