| NPI | 1629344916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA LAURA GONZALEZ Psychologist 917-596-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 019350) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |