| NPI | 1437817780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARAD Owner 347-248-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |