| NPI | 1477766921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOS RIVERA JR Assistant Vice President 718-283-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY R053046) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |