| NPI | 1740834191 |
|---|---|
| Doing Business As | PESACH TIKVAH |
| Entity Type | Organization |
| Authorized Contact | DEVORAH KOTZEN Office Administrator 718-875-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |