| NPI | 1104872506 |
|---|---|
| Other Name | NYC DEPT OF HEALTH & MENTAL HYGIENE MOTT HAVEN CONNECT CMCM |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES SMOOK Administrative Mgr 3d Party Revenue 212-442-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 01234413026) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |