| NPI | 1508629494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLE BENDERS-HADI Authorized Official 212-284-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2025-01-28 |