| NPI | 1336770114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA GONZALEZ Executive Director 347-526-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |