| NPI | 1154644292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FELDER Social Worker 718-230-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NY 073857-1) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |