| NPI | 1639297591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MANNINO President 718-748-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 000395) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 000395) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |