| NPI | 1730962283 |
|---|---|
| Former Legal Business Name | NASSAU |
| Entity Type | Organization |
| Authorized Contact | KAREN DAVIS Owner 646-420-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |