| NPI | 1275842999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVA MATAS Office Manager 718-676-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |