| NPI | 1497148373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE KOFMAN President 917-405-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY 0178791) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |