| NPI | 1033356324 |
|---|---|
| Doing Business As | KINGSBORO PSYCHIATRIC CENTER (CANARSIE OPD CLINIC) |
| Entity Type | Organization |
| Authorized Contact | DEON M WEISE Mental Health Social Worker 718-703-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2010-01-27 |