| NPI | 1861062044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHAZIN Director 917-741-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-12-22 |