| NPI | 1669830634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA S MASSINA Proprietor 917-658-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY R0527331) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-02-04 |