| 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 |