| NPI | 1467842393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DWYER Associate Executive Director 718-470-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 282NC2000X General Acute Care Hospital, Children | |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |