| NPI | 1982303848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ROBERTO BISONO Mental Health Consultant 917-940-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-04-23 |