| NPI | 1891034617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JONES Owner 917-225-2497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 016180) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 016180) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |