| NPI | 1508629494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLE BENDERS-HADI Authorized Official 212-284-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-08-25 |