| NPI | 1306863535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE SOSA-DICKSON Executive Director 718-643-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 194308) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 9137110A) |
| 1041C0700X Social Worker, Clinical (Licence: NY 074820) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-09-06 |