| NPI | 1881816643 |
|---|---|
| Doing Business As | SUS WELLNESS WORKS MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | LIN L. YANG Director Of Medicaid Billing 917-408-1642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R033460-1) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 216593-1) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-03-17 |