| NPI | 1902205610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SCOTT LEE Clinical Director 212-244-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P94034) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |