| NPI | 1174935514 |
|---|---|
| Former Legal Business Name | QUEENS CHILD GUIDANCE CENTER |
| Entity Type | Organization |
| Authorized Contact | JEAN M COPPOLA Director Of Billing 718-651-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 6734151F) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |