| NPI | 1699072686 |
|---|---|
| Doing Business As | ADOLESCENT HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL DELEON VP Medical Affairs/Cmo 718-589-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2012-07-24 |