| NPI | 1740650332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOHNSON Caseworker 212-864-4128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 31027) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |