| NPI | 1558434324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BRACKETT Social Worker 212-694-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 075235-1) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |