| NPI | 1982227237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMCHA B BENDET Director 347-668-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |