| NPI | 1932977840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RADOWITZ Chief Medical Officer Owner 917-270-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |