| NPI | 1912271891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH PAUSIC Clinic Director 212-677-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 085077) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |