| NPI | 1750700902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H KIM CEO 718-815-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2016-06-27 |