| NPI | 1134654783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS ESPAILLAT Clinician 718-299-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 100163-1) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-27 |