NPI | 1508068982 |
---|---|
Entity Type | Organization |
Authorized Contact | SANTOS RIVERA, JR. Assistant Vice President 718-283-7325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-08-22 |