| 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 |