| NPI | 1659050904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OHALE Director 646-421-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-07-13 |