| NPI | 1588840201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEPHTHA TAUSIG-EDWARDS P Sychologist 212-595-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 016753-1) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 016753-1) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |