| NPI | 1871253062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRODBERG Chief Of Psychiatry 917-587-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-01-03 |