| NPI | 1548373921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WOLINETZ Chief Financial Officer 718-722-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487102D) |
| Additional Taxonomies | 251S00000X (Licence: NY 6487019A) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487102A) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487101A) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487103A) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487100A) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 6487150A) | |
| 251S00000X (Licence: NY 6487302A) | |
| 251S00000X (Licence: NY 6487301A) | |
| 251S00000X (Licence: NY 6487300A) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-11-18 |