| NPI | 1497429997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ROBINSON Lcsw/Clinical Social Worker 914-612-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |