| NPI | 1629851613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD B LORCH Chief Financial Officer 718-686-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-10-08 |