| NPI | 1396502936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ROTH Founder And CEO 347-623-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |