| NPI | 1396605952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY KOZLIK Partner 917-797-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-02-05 |