| NPI | 1295207181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN GERARDO GALVAN-RODRIGUEZ Director 347-276-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |