| NPI | 1184166217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ROSA Assistant Clinic Director 718-960-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 098645) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |