| NPI | 1013165315 |
|---|---|
| Other Name | MS 8 |
| Entity Type | Organization |
| Authorized Contact | JEAN M COPPOLA Billing Manager 718-651-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 6734122J) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |