| NPI | 1790130482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ABANISHE Chairman/Medical Director 917-376-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 50979) |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2017-03-08 |