| NPI | 1548368756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LUISA MANON Director Of Revenue Cycle 347-505-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 01196327) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-09-20 |