NPI | 1548140569 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMARRA WARREN Clinical Director 646-941-7645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-09-03 |
Last Update Date | 2025-09-03 |