| NPI | 1548579196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MULE Administrator 718-206-7135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 070740) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |