| NPI | 1689960395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA GRULLON-FIGUEROA Medical Director 347-349-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NY 251831) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |