| NPI | 1992513550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSS-MOORE Owner 718-340-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |