| NPI | 1841797420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN F EPSTEIN Owner 646-450-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 016655) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 016655) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 016655) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |