| NPI | 1508989070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE STOTT Practice Manager 914-388-2762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 016692-1) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-07-24 |