| NPI | 1437874757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRYCJA BAK President 917-541-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |