| NPI | 1437453149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI STEIN Sole Proprietor 212-481-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 018874) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |