| NPI | 1447607817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREISLY VILLAMAN Medical Biller 914-375-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251B00000X Case Management | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2026-03-18 |