| NPI | 1740559012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FRUITMAN Medical Director 212-233-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 747423UPD) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |