| NPI | 1487019816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WOWO Md/CEO 917-434-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX P9770) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX P9770) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2022-08-17 |