| NPI | 1174557409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M. BREWSTER Executive Director 718-796-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6733100A) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-03-24 |