| NPI | 1992596670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA SLOTEN Director 917-446-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-11-05 |