| NPI | 1427820125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHISHA LUE-HING Executive Vice President 917-504-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |