| NPI | 1164688826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A TEBBS Licensed Social Worker 347-840-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: NY 72 072479) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |