| NPI | 1558839159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MOHEBAN-WACHTEL Licensed Social Worker 917-273-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |