NPI | 1184661290 |
---|---|
Doing Business As | THE SHIELD INSTITUTE |
Entity Type | Organization |
Authorized Contact | SUSAN PROVENZANO Executive Director 718-886-1682 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 6593164) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2018-04-24 |