| NPI | 1417986340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMISHA MCPHERSON Executive Director 212-803-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 1223G0001X Dentist, General Practice | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QP1100X Clinic/Center, Podiatric | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2019-09-05 |