| NPI | 1275516213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SALOMON Executive Director 718-862-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 6727100A) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2015-05-14 |