| NPI | 1619321502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN E TAYLOR CEO 718-222-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 213359) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 213359) |
| 261QH0100X Clinic/Center, Health Services (Licence: NY 213359) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 213359) | |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: NY 213359) | |
| 261QC1500X Clinic/Center, Community Health (Licence: NY 213359) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |