| NPI | 1194122374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WEISS Program Director 718-920-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 274585) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 274585) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |