| NPI | 1669743746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA LUNA Director 718-334-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 085063) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |