| NPI | 1386536316 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ASHLEY YERIM CHOI Member Manager 914-350-4270  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2025-07-15 | 
| Last Update Date | 2025-07-15 |