| NPI | 1912498965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASNA KOLTOVSKA President 347-586-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 007835) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-07-20 |