| NPI | 1508685157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARONIS TAVAREZ DE OLIVEIRA Clinical Director 718-207-9780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-11 |