| NPI | 1598012833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI LAN Director 718-683-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 251114) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2013-06-28 |