| NPI | 1225302508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A FREEMAN Medical Director 718-422-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 084708-1) |
| Enumeration Date | 2012-03-03 |
| Last Update Date | 2012-03-03 |