| NPI | 1679326227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAIJAH BELL CEO 347-221-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |