| NPI | 1740599570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTO RIVERA Occupational Therapy Assistant 164-662-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 006354-1) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |