NPI | 1639377849 |
---|---|
Entity Type | Organization |
Authorized Contact | FERMIN P GONZALEZ Doctor 718-898-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 205495) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2017-03-17 |