| NPI | 1326432238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURIFICACION CRISTOBAL Managing Agent 718-684-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2019-10-11 |