| NPI | 1184704736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO GUSTAVE Psychiatrist 718-221-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 232004) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |