| NPI | 1902602642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE ANIM KORANTENG Pmhnp 914-619-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-07-23 |