| NPI | 1447707146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MICHAEL PROTTAS Sole Proprietor 212-645-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY 078653) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2020-11-12 |