| NPI | 1619332319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SUE ROSKIN-PAUL Nurse 917-538-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 189949-1) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |