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 |