| NPI | 1154596559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIC DAVIN SHULMAN President/Executive Director 718-745-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 001738) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |