| NPI | 1447047337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN ZEV FRIEDMAN Manager 917-605-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |