| NPI | 1528389343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO QUINONES Division Director 718-960-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |