| NPI | 1730885591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA WALKER Business Owner 347-351-1397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |