| NPI | 1457515413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER B. CHERVINSKY President And CEO 718-488-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 012825) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 012825) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |