NPI | 1417358235 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA M SISK Psychotherapist 646-924-9384 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 047527) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2014-09-11 |