NPI | 1396324562 |
---|---|
Entity Type | Organization |
Authorized Contact | JANEESE PARKER Psychotherapist 929-273-1331 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2021-04-06 |