| NPI | 1598461907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB BAR HORIN CFO 718-851-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-11-11 |