| NPI | 1679852453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH POLK Assistant Director 718-797-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2012-12-06 |