NPI | 1710022330 |
---|---|
Other Name | PROMETHEUS CDTP |
Entity Type | Organization |
Authorized Contact | DANIEL L LOWY Director, Managed Care Contracting 718-401-5650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 7922300a) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2023-09-11 |