| NPI | 1053524132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOS RIVERA Administrator 718-283-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY r008813-1) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-12-04 |