| NPI | 1538679634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN STAYNA Owner 917-532-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 014033-1) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-11-02 |