| NPI | 1063671774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN IVERSON Exac Director 718-264-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 390200000X) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |