| NPI | 1467523985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA KAY EHIGIATOR Office Manager 1718-231-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 061211464) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-02-13 |