| NPI | 1700189719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK AIESE Executive Director 212-627-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 102L00000X Psychoanalyst | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 074001) | |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2023-08-22 |