| NPI | 1417789470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MARCIANO Owner/Clinical Director 929-216-0782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |