| NPI | 1427618081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES SANTOS-BELL Director 917-406-6763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |