| NPI | 1497832919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLEY HARRY President 718-363-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 8796100A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-02-24 |