| NPI | 1669730826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURIEL DETHOMAS President 718-721-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY R006721) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |