| NPI | 1396932380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNY LACAYO Senior Associate Director 718-334-5597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2021-04-07 |