| NPI | 1184957409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BADILLO Clinic Director 718-364-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 61526329) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |