| NPI | 1659702280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA SWANSON Owner/Provider 917-863-5889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD R1628686) |
| Enumeration Date | 2013-12-08 |
| Last Update Date | 2021-12-14 |