| NPI | 1780862334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEVIT Medical Director 718-376-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-08-28 |