| NPI | 1528409885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANNE MALLENBAUM Md, Phd 914-381-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NY 183699) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |