| NPI | 1609897453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOS RIVERA CEO/Executive Director 212-227-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-07-21 |