| NPI | 1568751964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES ESCOTO Case Worker 718-960-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |