| NPI | 1588378723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SUMMERS CEO 347-468-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center Community Health | |
| 261QR1100X Clinic/Center Research | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |