| NPI | 1497513493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LIEBERMAN CEO 917-626-7305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-05-17 |