| NPI | 1598882284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY TROIA Executive Director 718-448-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X (Licence: NY 8215004A) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 8215004A) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 8215004A) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-06-16 |