| NPI | 1386512481 |
|---|---|
| Other Name | WASHINGTON AVE AT 1011 BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN M PREOLO Senior Credentialing Director 914-608-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |