| NPI | 1114599875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN J JIMENEZ Executive Director 718-458-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2022-11-18 |