NPI | 1467345082 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA SIMON Member Manager 646-494-2488 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-02 |