| NPI | 1518633676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SOCOLICK Clinical Director 917-916-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |