| NPI | 1003027053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNILDA AQUINO Clinical Social Worker 718-657-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY p56616) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |