| NPI | 1730425240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON DEMENCHUK Executive Director 646-770-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-12-19 |