| NPI | 1912328535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE CHARLES Owner 718-382-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 2112894) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |