NPI | 1700539681 |
---|---|
Entity Type | Organization |
Authorized Contact | FITZGERALD AJOKU Founder 914-609-1183 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-01-31 |
Last Update Date | 2022-10-16 |