| NPI | 1598097057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA IVEY Director Of Program 718-485-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 258269-1) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |