| NPI | 1730051533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE CEO 347-456-4647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |